- Mount Sinai Health System (New York, NY)
- …or a related field. + Additional certifications (eg, CPC, CCS, or related healthcare coding certifications) are a plus. **Experience Requirements** + Minimum 3-5 ... management systems, modeling software, and financial reporting tools. + Familiarity with healthcare coding standards (eg, CPT, ICD-10, HCPCS) and reimbursement… more
- Molina Healthcare (Rochester, NY)
- …fraud, abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of ... healthcare providers that bill Medicaid/Medicare/Marketplace. **KNOWLEDGE/SKILLS/ABILITIES** + Ensure investigators...well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems +… more
- Molina Healthcare (Buffalo, NY)
- …will work on set schedule) Looking for a RN with experience with appeals, claims review, and medical coding . JOB DESCRIPTION Job SummaryProvides support ... * Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.… more
- Molina Healthcare (Rochester, NY)
- …for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If you are interested ... recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage.… more
- Mount Sinai Health System (New York, NY)
- …will be onsite. **Qualifications** + Associates Degree preferred + 5 years experience in medical billing or health claims , with experience in IDX billing systems ... Roosevelt - ISM, Icahn School of Medicine **Responsibilities** + Performs specialized coding services for inpatient and outpatient medical office visits. Reviews… more
- Mount Sinai Health System (New York, NY)
- …plus 3 years of relevant experience + Certified coder required + Experience in medical billing or health claims , with experience in EPIC & IDX billing ... these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution....in IDX using approved methodologies. 8. May perform specialty coding for services and medical office visits… more
- Humana (Albany, NY)
- …that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer ... and judgment. May apply intermediate mathematical skills. **Where you Come In** The Medical Coding Coordinator extracts clinical information from a variety of … more
- University of Rochester (Albany, NY)
- …Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 105 ... GENERAL PURPOSE Reviews system edits and assigns appropriate codes from appropriate coding classification system to ensure the production of quality healthcare … more
- SUNY Upstate Medical University (Syracuse, NY)
- …received from clinical departments, physicians, and Financial Service staff to ensure claims are billed and/or resubmitted with appropriate coding . Responsible ... with coding issues and/or questions to ensure claims are billed compliantly and accurately based on ...claims are billed compliantly and accurately based on medical record documentation. Minimum Qualifications: Associates degree and two… more
- Humana (Albany, NY)
- …Qualifications** + BS in healthcare or business-related field + Knowledge of internal Medical Coverage Policies and Claims Payment Policies + CAS claims ... takes to Succeed** + 2 years experience with a coding certification (Industry-recognized coding certification from the...from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement… more